Dr JOAQUINA E VIDES DE MONTOYA MD is a female medical professional, specializing in Internal Medicine. She graduated in 1990.
FORKED DEER RIVER INPATIENT SERVICES, PLLC
400 E TICKLE ST
DYERSBURG
TN
380243120
Tel: 7312852410
| Npi | 1598852857 |
| Pac Id | 7012919418 |
| Professional Enrollment Id | I20070214000289 |
| Last Name | VIDES DE MONTOYA |
| First Name | JOAQUINA |
| Middle Name | E |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
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| Organization Legal Name | FORKED DEER RIVER INPATIENT SERVICES, PLLC |
| Group Practice Pac Id | 0840426961 |
| Number Of Group Practice Members | 12 |
| Line 1 Street Address | 400 E TICKLE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DYERSBURG |
| State | TN |
| Zip Code | 380243120 |
| Phone Number | 7312852410 |
| Hospital Affiliation Ccn 1 | 440072 |
| Hospital Affiliation Lbn 1 | DYERSBURG REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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